Active NPI
Teresa F Young, RPH
- Pharmacist
- Southport, NC
National Provider Identifier
1760709307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13705
- Practice address
- 1531 N Howe St
Southport, NC 28461-2608 - Phone
- (910) 457-4721
- Fax
- (910) 457-4986
- NPI assigned
- Apr 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13705 | NC | Primary |
Addresses
Primary practice location
1531 N Howe St
Southport, NC 28461-2608
Mailing address
1004 Captain Adkins Dr
Southport, NC 28461-2659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13705 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1760709307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 CAPTAIN ADKINS DR",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284612659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 N HOWE ST",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284612608",
"telephone_number": "910-457-4721",
"fax_number": "910-457-4986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "TERESA",
"middle_name": "F",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-21",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "13705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.